Results 1 to 7 of 7

tissue debridement

  1. Default tissue debridement
    Medical Coding Books
    Hello all,

    Doctor did 29881 (lateral meniscectomy)

    Then op note states:

    The ACL had a lot hemorrhagic tissue anteriorly. This was probably the source of the bleeding. These were removed w/ the shaver.( DX: partial tear of ACL and hemarthrosis)

    Enough to bill unlisted and compare to?

    Thanks!
    Jamie

  2. Default 2nd request
    any takers?

  3. #3
    Default
    I dont suppose the shaving counts as chondroplasty (debridement/shaving of articular cartilage) does it? I only ask because you mention the ACL in relation to it. if so, and if it's 2012, chondroplasty is included in meniscectomy now, so you could just bill the 29881. otherwise you could be right about the unlisted.

  4. #4
    Default I would be inclined to bill this as a chondroplasty
    Chondroplasty means 'reshaping the joint surface' and refers to simple surgical techniques whereby fibrillated (ragged) and damaged joint surface is cut, scraped, lasered or burred away in the hope that the healthy joint surface will heal over the defect.
    CPC, COSC

  5. #5
    Default
    Quote Originally Posted by nrichard View Post
    Chondroplasty means 'reshaping the joint surface' and refers to simple surgical techniques whereby fibrillated (ragged) and damaged joint surface is cut, scraped, lasered or burred away in the hope that the healthy joint surface will heal over the defect.
    does that mean it's something different? I'm curious myself, always like learning about the actual procedures and techniques behind the codes, it gives a good visual, which can help when comparing different types of procedures, and choosing a code.

  6. #6
    Default
    Quote Originally Posted by aaron.lucas View Post
    does that mean it's something different? I'm curious myself, always like learning about the actual procedures and techniques behind the codes, it gives a good visual, which can help when comparing different types of procedures, and choosing a code.
    Does that mean something different? I'm sorry I'm not sure what your question was?

    As far as my original post, it was meant to show the definition of chondroplasty is not limited by the method, to show that yes the shaving does count as a form of chondroplasty since it is reshaping the joint.
    CPC, COSC

  7. #7
    Default
    Ok, that answers my question. I was confused by the way you wrote it, no worries now though. thanks for the info!

Similar Threads

  1. Debridement of scar tissue from patellar tendon
    By bethh05 in forum Outpatient Facilities
    Replies: 0
    Last Post: 04-11-2014, 11:14 AM
  2. knee arthroscopy with scar tissue debridement
    By rgrimes in forum Orthopaedics
    Replies: 2
    Last Post: 12-05-2012, 06:41 PM
  3. Replies: 1
    Last Post: 11-19-2012, 10:31 AM
  4. soft tissue debridement
    By Jamie Dezenzo in forum Outpatient Facilities
    Replies: 1
    Last Post: 04-09-2012, 01:04 PM
  5. Replies: 2
    Last Post: 02-01-2010, 07:05 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.